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1194067090
SAILASRI C REDDY
SYRACUSE, NY
NPI
1194067090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 016336)
Enumeration Date
2013-03-19
Last Update Date
2016-09-29
Business Address
-- SAILASRI C REDDY PA
90 PRESIDENTIAL PLZ ROOM #4102
SYRACUSE, NY 13202-2240
Phone number: 315-464-3938
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Mailing Address
-- SAILASRI C REDDY PA
1729 BURRSTONE RD ROOM #4102
NEW HARTFORD, NY 13413-1001
Phone number: 315-798-1702
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